Organization Name: | DENDRINOS MEDICAL ASSOCIATES, P.A. |
NPI Number: | 1386839603 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE ARISTIDIS DENDRINOS (FAMILY DOCTOR) |
Mailing Address: | 2020 E Chestnut Ave Vineland |
State: | NJ US |
Postal Code: | 083618432 |
Phone Number: | 8565631600 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2007 |
NPI Last Update Date: | 05/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |